Claim Procedure www. apollomunichinsurance.

com

Please review your Optima Restore policy and familiarize yourself with the benefits available and the exclusions.
To help us to provide you with fast and efficient service, We kindly ask you to note the following.
1. We recommend that you keep copies of all documents submitted to Apollo Munich.
2. Please quote your member ID/policy number in all your correspondences.
Claim Procedure for Hospitalisation related benefits
What do I do in case of a claim or any assistance?
Intimation & Assistance Procedure for Reimbursement of Medical Expenses Procedure to avail Cashless facility
Please contact us atleast 48 hours prior to an event • Please send the duly signed claim form and all • For any emergency Hospitalisation, We must
which might give rise to a claim. the information/documents mentioned* therein be informed no later than 24 hours after
For any emergency situations, kindly contact us 24 to us within 15 days of the completion of the hospitalization.
hours of the event. treatment. • For any planned hospitalization, kindly seek
We can be contacted through: * Please refer to claim form for complete cashless authorization from us atleast 48 hours
- Website: documentation. prior to the hospitalization.
www.apollomunichinsurance.com
• If there is any deficiency in the documents/ • We will check your coverage as per the eligibility
- Toll Free:
1800-102- 0333 information submitted by you, We will send the and send an authorization letter to the provider.
- Fax: deficiency letter within 7 days of receipt of the In case there is any deficiency in the documents
1800- 425- 4077 claim documents. sent, the same shall be communicated to the
- Courier: • On receipt of the complete set of claim hospital within 6 hours of receipt of documents.
Claims Department, documents, we will make the payment for the • Please pay the non-medical and expenses not
Apollo Munich Health Insurance Co. Ltd., admissible amount, along with a settlement covered to the hospital prior to the discharge.
Ground floor, Srinilaya – Cyber Spazio statement within 30 days. • In case the ailment /treatment is not covered
Suite # 101,102,109 & 110, Ground • The payment will be made in the name of the under the policy a rejection letter would be sent
Floor, proposer. to the provider within 6 hours.
Road No. 2, Banjara Hills, Note: Payment will only be made for items Note:
Hyderabad-500 034. covered under your policy and upto the limits • Insured person is entitled for cashless only
or : Claims Department, therein. in our empanelled hospitals.
Apollo Munich Health Insurance Co. Ltd., • Please refer to the list of empanelled
Central Processing Center, 2nd & 3rd hospitals on our website Or the list
Floor, iLABS Centre, Plot No. 404-405, provided in the welcome kit.
• Please refer to the list of non-medical
Udyog Vihar, Phase-III, Gurgaon-122016,
expenses not covered in the policy in
Haryana.
annexure I of policy wordings.
Please use the Claim Intimation Form available at • Rejection of cashless in no way indicates
our website for intimation of a claim. rejection of the claim.

Claim Procedure for E-opinion

What do I do in case of a claim or any assistance?

• Please submit duly filled claim form along with the copy of all medical reports including investigation reports and discharge summary (if any) at any of our Branch Office.
• You need to select Our Panel Doctor from whom You would prefer to take the e-opinion. (Please refer Our Website or call at 24X 7 Toll Free line to obtain the list of Our
Panel Doctors)
• On receipt of the complete set of documents We will forward the same to the concerned doctor.
• The E-Opinion will be forwarded to the member within 7 working days of the receipt of the complete set of documents.
For any doubt or clarifications and/or information, call our Toll Free Line at 1800 102 0333 or log on to our website www.apollomunichinsurance.com or email us at
customerservice@apollomunichinsurance.com
AMHI/PR/H/0022/0144/062016

We would be happy to assist you. For any help contact us at: E-mail: customerservice@apollomunichinsurance.com Toll Free : 1800 102 0333
Apollo Munich Health Insurance Co. Ltd. • Central Processing Center, 2nd & 3rd Floor, iLABS Centre, Plot No. 404-405, Udyog Vihar, Phase-III, Gurgaon-122016, Haryana
• Corp. Off. 1st Floor, SCF-19, Sector-14, Gurgaon-122001, Haryana • Reg. Off. Apollo Hospitals Complex, Jubilee Hills, Hyderabad-500033, Telangana • For more details on risk factors,
terms and conditions, please read sales brochure carefully before concluding a sale • IRDAI Registration Number - 131 • Corporate Identity Number: U66030AP2006PLC051760
UIN: IRDAI/HLT/AMHI/P-H/V.III/1/2016-17